Country papers

Extension Agent reorganization into a ‘Block’ system for CLTS Implementation and Monitoring in Salima and Zomba Districts, Malawi

CLTS in Malawi has traditionally been implemented through local Health Centre extension agents and supported by resourcing provided by donor partners. With the goal of a 100% Open Defecation Free Malawi by 2015 and the current percentage of ODF villages verified at 4.3%, there is immediate need for more efficient delivery of CLTS. The inability to monitor and verify progress towards ODF presents a critical barrier that jeopardizes the attainability of ODF targets.

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Toilet Coverage and Sanitation Performance in India By States (2001-2011)

It is widely accepted that India’s “Total Sanitation Campaign has been a failure”.

In 2001 rural sanitation coverage was 22%. In 2011, ten years of Total Sanitation Campaign (TSC) later, the Government of India claimed that coverage was 68%. But recent Census data revealed that real coverage was only 31%. This means that less than one in five toilets reportedly constructed is in place.

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Triggering for handwashing in CLTS

The ODF Malawi 2015 Strategy and National Hand Washing Campaign have contributed to an increased focus on handwashing with soap (HWWS) in Malawi. CLTS is one of the key interventions used for sanitation and hygiene promotion in Malawi, with handwashing (HW) as a key component of ODF status achievement. However, the tools used to trigger for handwashing appear minimal and could therefore be improved upon. This report reviews current methods for triggering for handwashing and CLTS and assess their effectiveness in creating handwashing facilities and increasing the presence of soap. It also suggests areas for improvement and describes new triggering tools that have been piloted and evaluated.
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